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  • 1
    Electronic Resource
    Electronic Resource
    194. Zur Funktion des thorakalen Magens: Pyloroplastik oder nicht? (1987)
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 845-846 
    Details
    ISSN: 1435-2451
    Keywords: Intrathoracic stomach ; 24 h pH measurement ; Gastric drainage ; Intrathorakaler Magen ; 24 h pH-Metrie ; Drainageoperation des Magens
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 11 Patienten mit einer distalen Resektion des Oesophagus und einer Oesophagogastrostomie in Höhe der Trachealbifurkation (n = 5) und einer transabdominalen subtotalen Oesophagektomie ohne Thoracotomie (n = 6) wurden untersucht. Es wurden keine Drainageoperationen ausgeführt. 6 Patienten hatten ein Plattenepithel-, 3 ein Adenocarcinom des Oesophagus, 2 ein Kardiacarcinom. Die Patienten wurden endoskopisch bis zu 8mal untersucht, jeder Patient hatte mindestens ein postop. CT, 4 Patienten wurden 24 h pH-metriert. 7 Patienten hatten eine Oesophagitis, 5 eine Gastritis. Obwohl die Mehrzahl der Patienten Speisereste im Magen zeigte, wurde bei keinem tumorfreien Patienten eine Magenausgangsstenose beobachtet. Eine primäre Drainageoperation des Magens halten wir daher für nicht indiziert.
    Notes: Summary Eleven patients with distal resection of the esophagus and esophagogastrostomy at the level of the tracheal bifurcation (n = 5), as well as transhiatal esophagectomy without thoracotomy (n = 6), were studied. No drainage procedures were carried out. Three patients had an adenocarcinoma and 6 squamous cell carcinoma of the esophagus. Two patients presented with carcinoma of the cardia. The patients were examined endoscopically up to 8 times. In each patient at least one postoperative CAT scan was carried out; pH was measured for 24 h in 4 patients. Seven had esophagitis and 5 had gastritis of various degrees. Although the majority of the patients had food remains in the stomach, no gastric outlet stenosis was observed. Thus a primary gastric drainage operation is not necessary.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01297978
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Gastrobiliary motility after liquid fatty meal in progressive systemic sclerosis (1994)
    Springer
    Digestive diseases and sciences 39 (1994), S. 565-570 
    Details
    ISSN: 1573-2568
    Keywords: gastric emptying ; antral motility ; gallbladder emptying ; progressive systemic sclerosis ; ultrasound
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Gastric emptying, antral motility, and gallbladder emptying after a liquid fatty meal were studied by ultrasound in 25 patients with progressive systemic sclerosis and in 25 sex- and age-matched controls. In patients with systemic sclerosis, the possible role of autonomic dysfunction was evaluated by four noninvasive cardiovascular reflex tests. Despite a significant delay of gastric emptying and a significant postprandial antral hypomotility in the patients with systemic sclerosis, the fat-induced gallbladder emptying was only slightly reduced, reaching no significant level when compared to the controls. The prolongation of gastric emptying correlated significantly with the duration of the disease. Although 36% of the patients in the systemic sclerosis group exhibited signs of autonomic cardiac dysfunction, there was no evidence of an association between these signs and gastric motor dysfunction. In conclusion motility disorders of the gallbladder seem to play a minor role in the upper gut involvement of systemic sclerosis, whereas motility disorders of the stomach are frequent and can be easily recognized noninvasively by real-time ultrasound.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02088344
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Gastrointestinal transit through esophagus, stomach, small and large intestine in patients with progressive systemic sclerosis (1994)
    Springer
    Digestive diseases and sciences 39 (1994), S. 2209-2215 
    Details
    ISSN: 1573-2568
    Keywords: progressive systemic sclerosis ; esophageal transit ; gastric emptying ; intestinal transit ; gastrointestinal symptoms ; small intestinal bacterial overgrowth
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Liquid esophageal transit and gastric emptying, mouth-to-cecum transit, and whole gut transit of a solid-liquid meal were measured in 14 patients with PSS, 16 control subjects (esophageal transit), and 20 control subjects (gastrointestinal transit), respectively, by using scintigraphic techniques, the hydrogen breath test, and stool markers. In patients with PSS, the glucose hydrogen breath test for detection of small intestinal overgrowth was performed and various gastrointestinal symptoms were determined. Esophageal transit and gastric emptying were significantly prolonged in PSS patients with 11 of 14 PSS patients (79%) disclosing delayed esophageal transit and eight of 14 PSS patients (57%) disclosing delayed gastric emptying. All PSS patients with prolonged gastric emptying also had delayed esophageal transit and there was a significant positive correlation between esophageal transit and gastric emptying (r=0.696,P〈0.01). No significant differences between PSS patients and controls were detected concerning mouth-to-cecum transit and whole gut transit, but abnormally delayed mouth-to-cecum transit was found in four of 10 PSS patients (40%) and abnormally prolonged whole gut transit was detected in three of 13 PSS patients (23%). Small bacterial overgrowth was diagnosed in three of 14 PSS patients (21%). Delayed esophageal transit and gastric emptying were associated with dysphagia, retrosternal pain, and epigastric fullness, while prolonged whole gut transit was associated with constipation. It is concluded that delayed gastric emptying is frequently associated with esophageal transit disorders in PSS patients and may be one important factor for the development of gastroesophageal reflux disease in these patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02090373
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    Paper (German National Licenses)
    Fulltext
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